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Treatment goals are to eliminate the infection and relieve the symptoms.
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In bacterial paronychia, hot water soaks 2 or 3 times per day reduce inflammation and pain. Topical or oral antibiotics may be prescribed. In severe cases, your physician may cut and drain the lesion with a sharp instrument.
Fungal paronychia may be treated with topical or oral antifungals. The hands should be kept dry, or, topical drying agents such as Castellani's paint should be applied.
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